Individual
JERICA BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2493 TOBACCO RD, HEPHZIBAH, GA 30815-5951
(706) 793-2106
Mailing address
7318 DORADO DR, AUGUSTA, GA 30909-4048
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH030051
GA
Other
Enumeration date
08/08/2017
Last updated
08/10/2017
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